title: Isolated lower brachial plexus (Klumpke) palsy with compound arm presentation: case report.
abstract: Klumpke palsy has yet to be clearly documented in the newborn, because previous reports lack any description of the obstetrical history, clinical progression, or outcome. Based on a high incidence of breach presentation in the few clinical series that report Klumpke palsy, hyperabduction with arm overhead during delivery has been the presumed mechanism. We report a child with isolated lower brachial plexus palsy and Horner syndrome who presented at birth with a vertex compound arm presentation. Recognition of this condition and details of the clinical progression and outcome are important, because guidelines for management are currently not available.
authors.affiliation: Division of Plastic Surgery, Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
authors.forename: Edward P
authors.initials: EP
authors.lastname: Buchanan
authors.forename: Randal
authors.initials: R
authors.lastname: Richardson
authors.forename: Raymond
authors.initials: R
authors.lastname: Tse
mesh_terms: D001132:Arm / Q000503:physiopathology; D020516:Brachial Plexus Neuropathies / Q000150:complications / Q000175:diagnosis* / Q000534:rehabilitation; D002675:Child, Preschool; D005500:Follow-Up Studies; D006732:Horner Syndrome / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male; D009788:Occupational Therapy / Q000379:methods*; D010246:Paralysis, Obstetric / Q000150:complications / Q000175:diagnosis* / Q000534:rehabilitation; D016059:Range of Motion, Articular / Q000502:physiology*; D020127:Recovery of Function / Q000502:physiology; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome
keywords: Brachial plexus; Klumpke; obstetrical; palsy